Old cat: necrotizing fasciitis?

Short story: I was looking for the right words to describe what seems to be happening to my cat and found “necrotizing fasciitis”. This is NOT something the emergency vet even mentioned. Maybe because my cat doesn’t seem to be in any pain?

Anyone have experience with this?

My old girl seems like a reasonable candidate for this. I’m calling the vet back to see if they can read the emergency vet report and if I should take her immediately.

(original lengthy post follows …)

In competition for the worst cat owner ever, I didn’t notice swelling of my old cat’s lip until food got caught. It’s the side of her face I rarely see and she likes being combed and petted but not held or examined. So, I go with the path of least resistance.

She doesn’t live with me anymore, so I only see her in the evenings. We were living at my BF’s when her long-time companion died in January, she became very interactive with my BF’s group of cats. She doesn’t like them to touch her, but she likes to be around. The kitten has pushed through her wall and sits on her tail. So, when I moved into my new house, I thought she would be happier with other cats than all alone most of the day.

We took her to the vet last Monday. Her regular doc wasn’t in, so someone else saw her. The vet examined her mouth, even turning the lip inside out, and said it was probably an absess or a scratch that was a bit infected. We opted for the antibiotic shot (pills are a disaster with this girl) and took her home. She seemed better than she’d been in a couple of months … very interactive, eating enthusiastically, sitting quietly for her fluids.

Then Saturday during my daily inspection, I saw that … how to describe this? The bottom part of her lip was hanging loose from her cheek. All the flesh below the whisker line, on the left side from the outer side of her nose to 1/2 from the end of the mouth, exposing gums.

Rushed to the emergency vet to get it stitched to learn that it was dead and could be removed. I opted not to do a bunch of tests and bloodwork at the time. The vet just pulled the piece off and we left. The border is jagged and hard.

I’ve made an appointment for her regular vet to see her first thing tomorrow, but I don’t know what to ask, really. My position is that I will do everything to keep her comfortable until she stops eating and then let her go.

I know she has nearly no kidney function and she’s was diagnosed with pancreatitis last fall. She’s been getting daily subq fluids and cerenia as needed since then.

In January she got this weird eye bleed, but the animal opthamologist examined her and said there was nothing to be done: there was probably tumor in her head. Miraculously, her eye hasn’t bled since that appointment.

She drinks regularly from ceramic bowls (hates the water fountain, but will beg for water from the sink). She eats about 1/8 cup of dry food, 1 T of canned (Fancy Feast or Almo), and 10 or so My Little Lion treats every day.

Starting yesterday she has decided to sleep in the kitten’s litter box (filled with kitten attract). Is it horrible to let her? Kitten seemed okay using one of the big cat boxes when his was occupied yesterday.

Jingles for you and your kitty. Good luck with the vet and the new idea for a diagnosis. I don’t have any experience with it, but I know what you are going through trying to make decisions for your cat. Regarding the litter box. I’d keep it as clean as possible and let her sleep in it. Mine have been known to hang close to one when they were ill. Maybe kitty emergency planning?

My cats always drink better with ice cubes in their water bowl. It’s a PITA to put in fresh cold water 10 times a day so to keep it fresh we would drop a couple of cubes in it whenever we were in the kitchen and everyone was happy.

Necrotizing fasciitis in humans is very infectious. If you have other cats in the house, I would have her tested (it’s basically a nasty bacterial infection, usually staph or strep) so that other kitties don’t get it as well. I do not know if it can travel to other species (such as you).

Id put my money on a “uremic ulcer”. Common in cats with kidney disease and fat lips are typically a common sign. Second opinion would be great, just to confirm a uremic ulcer and rule out SCC.

Unfortunately, sleeping in the litter boxes is usually one of the signs it is time to let go. Unless its a litter box that resembles a cat bed. So sorry for your girl.

Jingles!

Thanks for your replies. We’re scheduled to see her regular vet this morning. Sorrellfilly, spreading to the other cats is a main concern (as far as I can tell from the interwebs, the disease has never (yet) spread from cats to humans) … The other concern is that it looks like more of her face/cheek has hardened and may come off.

However, she was active and cheerful last night trotting from one end of the house to the other … she uses “her” litter box at one end of the house, but wants to nap in the kitten’s. BF thinks its the kitten attract litter. She ate treats and wet food with enthusiasm and tolerated her subq fluids …

Squish … I’ll let you know what the vet says. Goodness, images of these things are horrific :frowning:

[QUOTE=Ruth0552;7646874]
Unfortunately, sleeping in the litter boxes is usually one of the signs it is time to let go. Unless its a litter box that resembles a cat bed. So sorry for your girl.[/QUOTE]

Not necessarily! I wouldn’t put a cat down who was otherwise happy if it occasionally slept in the litterbox. My perfectly healthy (well, maybe not mentally) cat does this on occasion and has for the past 10 years (he’s 11).

Your cat wont spread uremic ulcers, and necrotizing fasciitis is very unlikey - she would be MUCH MUCH sicker.

Doesn’t sound like her QOL is too bad right now. Might be worth a few days of dialysis to decrease the urea in her bloodstream. This can help control the ulcers and prevent more from forming. IV fluids are far more effective then SQ, and often just 24-48 hours can give kidney kitties a great rebound.

I’ll talk to the vet about IV fluids next opportunity … which I hope won’t be too soon. He conferred with another vet in the practice (the one who saw her last week) and they both believe that Cat was bitten by a brown recluse. Considering she’s started exploring inside the bathroom vanities lately, it’s possible.

The lip didn’t swell the way the photos of uremic ulcerated cats showed. It looked like an abscess next to the nose. And then all that turned black and hard and broke away from the rest of her face. And it wasn’t ever painful. Just gross.

Except for the exposed fang, she looks better than she has all year, says the vet. He can’t figure out what to culture since there’s just what looks like healthy skin and muscle (etc) and then a scabbed surface.

Thank you for your replies and support, everyone. But I could see how IV fluids would provide a respite for the kidneys.

BF also confesses that ALL the cats lay in the kitten’s box. Sadly, the kitten attract works better on the adults than on the little guy who is getting better about using a litter box but not yet 100%.

Kitten is probably not 100% yet because every time he tries to go to the bathroom someone is sleeping in his litter box. :wink: Kidding, kidding.

I hope your older kitty is feeling better.

aw, how stressful for you. kitty sounds happy enough, I hope she’ll continue to feel good.

I would think if it was a Brown Recluse she would be dead. My first husband’s large Lab was bitten by one and he nearly died luckily being diagnosed and receiving anti-venom. But it could be another lesser spider. Kitties love to eat bugs

Here in Florida there are lots of Brown Recluse and it could have been a baby, or as you say, any other species that is less poisonous.

She seems to be doing ok. The tear has changed shape and is smaller and u-shaped rather than a long curve. No idea what that means, but with three days off, work, I have plenty of time to worry :slight_smile: